Healthcare Provider Details

I. General information

NPI: 1477357986
Provider Name (Legal Business Name): JULIA FRAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 W MEDICAL CENTER DR STE B202
MCHENRY IL
60050-8417
US

IV. Provider business mailing address

4309 W MEDICAL CENTER DR STE B202
MCHENRY IL
60050-8417
US

V. Phone/Fax

Practice location:
  • Phone: 815-455-2752
  • Fax: 815-455-2789
Mailing address:
  • Phone: 815-455-2752
  • Fax: 815-455-2789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085011160
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: